Other Questions

2. Have you ever worked with a Financial Advisor before? (This could also include insurance agent, stock broker, etc.) If yes, how was that experience?

3. How are your feelings about money/finance and your involvement? Do you enjoy keeping “up to speed” on things, or is dealing with money/finance “a necessary evil”?

4. What was the best financial decision you ever made? Next, what was the worst?

5. Are you a detail-oriented person, or do you prefer the “big picture” without getting too technical? Or do you fall somewhere in between?

Moving to some general financial topics, please rate your concern

Saving for Children's College

Income in Retirement

Charitable Giving

Debt Reduction/Credit

Investments-General

Estate Planning/Wills & Trusts

Insurance/Risk Protection

Planned Purchase

Budgeting/Spending

Parents/Eldercare

Retirement Savings

Starting a business

Other

Our firm has no minimum asset or net worth requirements, as we believe all families, regardless of net worth have similar financial goals and aspirations. In our initial meeting, we will explain all of our services to you. However, it’s helpful for us to know the general amount of assets you are concerned with, as certain services we offer have their own minimum or maximum requirements.

Amount of Assets

Under $50,000 $50-100,000 $100-250,000 $250-1,000,000 $1,000,000 +

Spouse Name

First Name Last Name

Spouse Age

Spouse Tax Filing Status

Spouse Gender

Male Female

Spouse Employment Status

Employed Unemployed Homemaker Retired Student

Spouse Employer

Spouse Occupation

Spouse Annual Salary

Contact Information

Spouse Address

Spouse Postal Address (if different)

Spouse Home Phone

Spouse Mobile Phone

Spouse E-mail

Spouse Preferred Method

Dependent Information

Spouse Child Name (1)

Age (1)

Gender (1)

Male Female

Spouse Child Name (2)

Age (2)

Gender (2)

Male Female

Spouse Child Name (3)

Age (3)

Gender (3)

Male Female

Spouse Child Name (4)

Age (4)

Gender (4)

Male Female

Professional Contacts (If Applicable)

Spouse Attorney

Attorney City

Attorney State

Attorney Phone

Spouse Accountant

Accountant City

Accountant State

Accountant Phone

Financial Advisor

Financial Advisor City

Financial Advisor State

Financial Advisor Phone

Other Questions

Do you have a will? (sp)

Yes No

Do you have a Power of Attorney? (sp)

Yes No

Do you have a Health Care POA? (sp)

Yes No

Do you have a Trust? (sp)

Yes No

If yes, Trustees?

1. What brings you to see us?

2. Have you ever worked with a Financial Advisor before? (This could also include insurance agent, stock broker, etc.) If yes, how was that experience?

3. How are your feelings about money/finance and your involvement? Do you enjoy keeping “up to speed” on things, or is dealing with money/finance “a necessary evil”?

4. What was the best financial decision you ever made? Next, what was the worst?

5. Are you a detail-oriented person, or do you prefer the “big picture” without getting too technical? Or do you fall somewhere in between?

Moving to some general financial topics, please rate your concern

Saving for Children's College

Income in Retirement

Charitable Giving

Debt Reduction/Credit

Investments-General

Estate Planning/Wills & Trusts

Insurance/Risk Protection

Planned Purchase

Budgeting/Spending

Parents/Eldercare

Retirement Savings

Starting a business

Other

Our firm has no minimum asset or net worth requirements, as we believe all families, regardless of net worth have similar financial goals and aspirations. In our initial meeting, we will explain all of our services to you. However, it’s helpful for us to know the general amount of assets you are concerned with, as certain services we offer have their own minimum or maximum requirements.